| Tammie Diane Clark, LPN | |
|
9324 Taylor St E, Edgewood, WA 98371-1249 | |
| (770) 910-2743 | |
| Not Available |
| Full Name | Tammie Diane Clark |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 9324 Taylor St E, Edgewood, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396638748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | LP00049051 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tammie Diane Clark, LPN 9324 Taylor St E, Edgewood, WA 98371-1249 Ph: (770) 910-2743 | Tammie Diane Clark, LPN 9324 Taylor St E, Edgewood, WA 98371-1249 Ph: (770) 910-2743 |
Octavia Danielle Graves, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 11306 8th St E, Edgewood, WA 98372 Phone: 253-392-2135 | |
Guadalupe Carrillo Guzman, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 11306 8th St E, Edgewood, WA 98372 Phone: 253-944-9028 | |
Ercia Devaux, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 11306 8th St E, Edgewood, WA 98372 Phone: 253-944-9028 | |
Sheri Martin, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 11306 8th St E, Edgewood, WA 98372 Phone: 253-944-9028 |